N81.89 — Other female genital prolapse
N81.89 is a billable, specific ICD-10-CM code for other female genital prolapse. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Deficient perineum
- Old laceration of muscles of pelvic floor
Risk adjustment
N81.89 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N81.89 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A57455Billing and Coding: Urodynamics
How N81.89 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N81.89.
- Deficiency, deficient›perineum(female)
- Incompetency, incompetent, incompetence›pelvic fundus
- Prolapse, prolapsed›pelvic floor, female
- Prolapse, prolapsed›perineum, female
- Prolapsus, female›specified NEC
- Relaxation›pelvic floor
- Relaxation›perineum
- Weak, weakening, weakness›pelvic fundus
- Prolapse, prolapsed›genital, female›specified NEC
- Laceration›pelvic›floor›old(postpartal)
- Laceration›perineum›female›old(postpartal)
- Laceration›perineum›female›postpartal
Related codes at this level
Codes that share N81.8. If N81.89 is not quite right, the correct code is usually one of these.
Questions about N81.89
- Is N81.89 a billable ICD-10-CM code?
- Yes. N81.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N81.89 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).